Instructional Support & Development
Request Order Form

 

 


 

Urgent Matters Only Call:
(703) 845-6226
 
 
First Name:
Middle Initial:
Last Name:
Associated Department Name:

Title: Faculty Staff Student
Telephone Number (include area code):
e-Mail Address:
Please continue to fill-out this form, below, telling Lisa what you would like to accomplish, as well as when you might be available to meet with her. Also, please give Lisa some idea of when you might be free, and she will get back to you with a confirmed day, date, and time (most likely, via e-mail). If you have any questions, please e-mail Lisa J. Stedge at lstedge@nvcc.edu .
 

PLEASE NOTE: All Services are Subject to Copyright Laws.


Service(s) Desired:
Audio Tape
Duplication		 General Guidance Trouble-Shooting
Audio Tape
Recording		 Photo Shoot Tutoring
Computer Graphics Poster Design VDEN Assistance
Equipment Delivery PowerPoint Presentation
Design		 Video Shoot
Equipment Repair Satellite Downlink Video Tape
Duplication
Equipment Set-Up Software Assistance Web Page
Assistance
File Format Changes Text Editing Web Page Design
File Transfer Traditional Graphics Writing

Other:


Detailed Description of Service Desired (Include Project Specifics):

 

Possible Day(s) of the Week:

Monday

Possible Start Time:

Possible End Time:


Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

Tuesday

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

Wednesday

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

 

Thursday

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

Friday

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

 

Saturday (rare occasions only!)

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:

Sunday (rare occasions only!)

Possible Start Time:

Possible End Time:

Possible Location:

Possible Building:

Possible Room #:

Other Possible Location:



Possible date(s) when you are available:
(example: Wed., Feb. 14, 2008)


Final Due Date for Your Proposed Project:
(example: Fri., Mar. 16, 2008)


Additional Comments:

Did you make a big mistake, and want a fresh slate?
Or do you want to make a new request?
Just click the button to the right....
 
All done making your request? Then...
 
 
IMPORTANT: Remember to make sure you "send" your e-mail, later, if your e-mail does not "send" automatically. This way, your services request order, which you submitted by clicking the above button, does not remain sitting in your e-mail's "out" box. You must be sure your e-mail is "sent," otherwise your submitted services request order will never be received by Lisa J. Stedge.
 
 

e-Mail All IS&D Staff at AL_IS&D@nvcc.edu
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Last Updated on April 5, 2006.